Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000183.xml
J Wrist Surg 2021; 10(04): 359-366
DOI: 10.1055/s-0040-1720966
DOI: 10.1055/s-0040-1720966
Emerging Technologies and New Technological Concepts
A New “Denervation” Technique for Painful Arthritic Wrist
![](https://www.thieme-connect.de/media/jws/202104/lookinside/thumbnails/10-1055-s-0040-1720966_1900038etntc-1.jpg)
Abstract
Wrist denervation is, by the way, one of the most performed and long-lasting surgical technique for wrist arthritis. Despite many progresses in upper extremity joint arthroplasty, wrist arthritis remains difficult to treat specially in young patients and heavy manual workers. The aim of this technical article is to describe a new outpatient's procedure in which applying pulsed radio frequency on nerve structure of the wrist could achieve similar clinical results of a wrist denervation without surgical incision.
Keywords
wrist arthritis - wrist arthritic pain - wrist denervation - SLAC and SNAC wrist - pulsed radio frequencyPublication History
Received: 21 April 2020
Accepted: 15 June 2020
Article published online:
09 February 2021
© 2021. Thieme. All rights reserved.
Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA
-
References
- 1 Gohritz A, Kaiser E, Guggenheim M, Dellon AL. Nikolaus Rüdinger (1832-1896), his description of joint innervation in 1857, and the history of surgical joint denervation. J Reconstr Microsurg 2018; 34 (01) 21-28
- 2 Brand RA, Hilton J. Clin Orthop Relat Res 2009; 467 (09) 2208-2209
- 3 Wilhelm A. Denervation of the wrist. Tech Hand Up Extrem Surg 2001; 5 (01) 14-30
- 4 Ferreres A, Suso S, Foucher G, Ruano D. Wrist denervation: surgical considerations. J Hand Surg Eur Vol 1996; 21 (01) 16
- 5 Hagert E, Persson JKE. Desensitizing the posterior interosseous nerve alters wrist proprioceptive reflexes. J Hand Surg Am 2010; 35 (07) 1059-1066
- 6 Hagert E. Proprioception of the wrist joint: a review of current concepts and possible implications on the rehabilitation of the wrist. J Hand Ther 2010; 23 (01) 2-17
- 7 Dellon AL. Partial dorsal wrist denervation: resection of the distal posterior interosseous nerve. J Hand Surg Am 1985; 10 (04) 527-533
- 8 Berger RA. Partial denervation of the wrist: a new approach. Tech Hand Up Extrem Surg 1998; 2 (01) 25-35
- 9 Sluijter ME, Vosman ER, Rittman WB, van Kleef M. The effects of pulsed radiofrequency fields applied to the dorsal root ganglion—a preliminary report. Pain Clin 1998; 11: 109-117
- 10 Podhajsky RJ, Sekiguchi Y, Kikuchi S, Myers RR. The histologic effects of pulsed and continuous radiofrequency lesions at 42 ° C to rat dorsal root ganglion and sciatic nerve. Spine 2005; 30 (09) 1008-1013
- 11 Brodkey JS, Miyazaki Y, Ervin FR, Mark VH. Reversible heat lesions with radiofrequency current. A method of stereotactic localization. J Neurosurg 1964; 21: 49-53
- 12 Cahana A, Vutskits L, Muller D. Acute differential modulation of synaptic transmission and cell survival during exposure to pulsed and continuous radiofrequency energy. J Pain 2003; 4 (04) 197-202
- 13 Higuchi Y, Nashold Jr BS, Sluijter M, Cosman E, Pearlstein RD. Exposure of the dorsal root ganglion in rats to pulsed radiofrequency currents activates dorsal horn lamina I and II neurons. Neurosurgery 2002; 50 (04) 850-855 , discussion 856
- 14 Van Zundert J, de Louw AJ, Joosten EAJ. et al. Pulsed and continuous radiofrequency current adjacent to the cervical dorsal root ganglion of the rat induces late cellular activity in the dorsal horn. Anesthesiology 2005; 102 (01) 125-131
- 15 Richebé P, Rathmell JP, Brennan TJ. Immediate early genes after pulsed radiofrequency treatment: neurobiology in need of clinical trials. Anesthesiology 2005; 102 (01) 1-3
- 16 Cosman Jr ER, Cosman Sr ER. Electric and thermal field effects in tissue around radiofrequency electrodes. Pain Med 2005; 6 (06) 405-424
- 17 Bogduk N. Pulsed radiofrequency. Pain Med 2006; 7 (05) 396-407
- 18 Sluijter ME. Pulsed radiofrequency. In radiofrequency, part 1 Fliovopress SA Meggen (LU). Switzerland 2001;(186):55–68
- 19 Hamann W, Abou-Sherif S, Thompson S, Hall S. Pulsed radiofrequency applied to dorsal root ganglia causes a selective increase in ATF3 in small neurons. Eur J Pain 2006; 10 (02) 171-176
- 20 Hagiwara S, Iwasaka H, Takeshima N, Noguchi T. Mechanisms of analgesic action of pulsed radiofrequency on adjuvant-induced pain in the rat: roles of descending adrenergic and serotonergic systems. Eur J Pain 2009; 13 (03) 249-252
- 21 Sluijter ME, Teixeira A, Serra V, Balogh S, Schianchi P. Intra-articular application of pulsed radiofrequency for arthrogenic pain--report of six cases. Pain Pract 2008; 8 (01) 57-61
- 22 Varani K, Gessi S, Merighi S. et al. Effect of low frequency electromagnetic fields on A2A adenosine receptors in human neutrophils. Br J Pharmacol 2002; 136 (01) 57-66
- 23 Tesch AM, MacDonald MH, Kollias-Baker C, Benton HP. Chondrocytes respond to adenosine via A(2)receptors and activity is potentiated by an adenosine deaminase inhibitor and a phosphodiesterase inhibitor. Osteoarthritis Cartilage 2002; 10 (01) 34-43
- 24 De Mattei M, Caruso A, Pezzetti F. et al. Effects of pulsed electromagnetic fields on human articular chondrocyte proliferation. Connect Tissue Res 2001; 42 (04) 269-279
- 25 De Mattei M, Pasello M, Pellati A. et al. Effects of electromagnetic fields on proteoglycan metabolism of bovine articular cartilage explants. Connect Tissue Res 2003; 44 (3-4): 154-159
- 26 Fioravanti A, Nerucci F, Collodel G, Markoll R, Marcolongo R. Biochemical and morphological study of human articular chondrocytes cultivated in the presence of pulsed signal therapy. Ann Rheum Dis 2002; 61 (11) 1032-1033
- 27 Pezzetti F, De Mattei M, Caruso A. et al. Effects of pulsed electromagnetic fields on human chondrocytes: an in vitro study. Calcif Tissue Int 1999; 65 (05) 396-401
- 28 Fini M, Giavaresi G, Carpi A, Nicolini A, Setti S, Giardino R. Effects of pulsed electromagnetic fields on articular hyaline cartilage: review of experimental and clinical studies. Biomed Pharmacother 2005; 59 (07) 388-394
- 29 Hagert E, Forsgren S, Ljung BO. Differences in the presence of mechanoreceptors and nerve structures between wrist ligaments may imply differential roles in wrist stabilization. J Orthop Res 2005; 23 (04) 757-763
- 30 Mataliotakis G, Doukas M, Kostas I, Lykissas M, Batistatou A, Beris A. Sensory innervation of the subregions of the scapholunate interosseous ligament in relation to their structural composition. J Hand Surg Am 2009; 34 (08) 1413-1421
- 31 Hagert E, Garcia-Elias M, Forsgren S, Ljung BO. Immunohistochemical analysis of wrist ligament innervation in relation to their structural composition. J Hand Surg Am 2007; 32 (01) 30-36
- 32 Hagert E, Ferreres A, Garcia-Elias M. Nerve-sparing dorsal and volar approaches to the radiocarpal joint. J Hand Surg Am 2010; 35 (07) 1070-1074
- 33 Charles A. Gaucci MD FRCA FIPP FFMRCA Manual of RF Techniques. 3rd Edition. 2011: 12-21